Duties of a Credentialing Specialist may include the following but are not limited to:
- Process the credentialing and re-credentialing applications of physicians and allied health providers (psychologists, podiatrists, speech and language therapists, physician assistants, audiologists, optometrists, nurse midwives, nurse practitioners, and nurse anesthetists) in accordance with the medical staff and medical board policies, bylaws rules and regulations, Department of Health, JCAHO and NCQA regulations.
- Analyze applications for accuracy and completion.
- Communicate with applicant and department liaisons for information to complete application processing.
- Responsible for inputting and maintaining accurate and timely data into the Medical Staff and various hospital wide databases.
- Responsible for creating reports, applications and documents from the Medical Staff database.
- Responsible for tracking expirations and updating licenses/certifications/activities required of the medical/allied staff while adhering to very stringent deadlines.
- Responding to and requesting verifications from outside sources as per NYS DOH regulations and medical staff policy.
- Other duties as assigned.
This is a temporary position that may end at any time.
Qualifications
Required Qualifications: Associate’s degree and at least 3 years of administrative experience or, in lieu of a degree , at least 5 years of administrative experience. Computer skills that include Microsoft Word and Microsoft Excel. Database Experience. Detail oriented and excellent organizational skills. Ability to work in a very busy office with constant interruptions.
Preferred Qualifications: Experience using a medical staff database, preferably Symplr. Knowledge of JC, DOH & NCQA regulations as it pertains to medical staff credentialing. Experience performing medical staff credentialing, preferably for a hospital. CPCS or CPMSM Certification.
Please Note: Verification of degree (e.g., diploma or official transcript) is required for this role. Upload of documentation must be included with your application for consideration.
Special Notes Resume/CV should be included with the online application.
Posting Overview This position will remain posted until filled or for a maximum of 90 days. An initial review of all applicants will occur two weeks from the posting date. Candidates are advised on the application that for full consideration, applications must be received before the initial review date (which is within two weeks of the posting date).
If within the initial review no candidate was selected to fill the position posted, additional applications will be considered for the posted position; however, the posting will close once a finalist is identified, and at minimal, two weeks after the initial posting date. Please note, that if no candidate were identified and hired within 90 days from initial posting, the posting would close for review, and possibly reposted at a later date.
______________________________________________________________________________________________________________________________________
- Stony Brook Medicine is a smoke free environment. Smoking is strictly prohibited anywhere on campus, including parking lots and outdoor areas on the premises.
- All Hospital positions may be subject to changes in pass days and shifts as necessary.
- This position may require the wearing of respiratory protection, which may prohibit the wearing of facial hair.
- This function/position maybe designated as “essential.” This means that when the Hospital is faced with an institutional emergency, employees in such positions may be required to remain at their work location or to report to work to protect, recover, and continue operations at Stony Brook Medicine, Stony Brook University Hospital and related facilities.
Prior to start date, the selected candidate must meet the following requirements:
- Successfully complete pre-employment physical examination and obtain medical clearance from Stony Brook Medicine's Employee Health Services*
- Complete electronic reference check with a minimum of three (3) professional references.
- Successfully complete a 4 panel drug screen*
- Meet Regulatory Requirements for pre-employment screenings.
- Provide a copy of any required New York State license(s)/certificate(s).
Failure to comply with any of the above requirements could result in a delayed start date and/or revocation of the employment offer.
*The hiring department will be responsible for any fee incurred for examination
_____________________________________________________________________________________________________________________________________
Stony Brook University is committed to excellence in diversity and the creation of an inclusive learning, and working environment. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, pregnancy, familial status, sexual orientation, gender identity or expression, age, disability, genetic information, veteran status and all other protected classes under federal or state laws.
If you need a disability-related accommodation, please call the University Office of Equity and Access at (631)632-6280.
In accordance with the Title II Crime Awareness and Security Act a copy of our crime statistics can be viewedhere
Visit ourWHY WORK HERE page to learn about the total rewards we offer.
Stony Brook University Hospital, consistent with our shared core values and our intent to achieve excellence, remains dedicated to supporting healthier and more resilient communities, both locally and globally.
Anticipated Pay Range:
The starting salary range (or hiring range) for this position has been established as $xx
The above salary range represents SBUH’s good faith and reasonable estimate of the range of possible compensation at the time of posting. The specific salary offer will be based on the candidate’s validated years of comparable experience. Any efforts to inflate or misrepresent experience are grounds for disqualification from the application process or termination of employment if hired.
Your total compensation goes beyond the number in your paycheck. SBUH provides generous leave, health plans, and state pension that add to your bottom line.
